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121-458: Public transportation in Pierce County historically focused on the city of Tacoma, which laid its first streetcar lines in 1888. The streetcars were phased out in the 1930s and replaced with citywide bus service, with the last line closing in 1938. The operators of the streetcar and bus systems, Tacoma Transit Company, was acquired by the city government in 1961 for $ 750,000. Under city ownership,

242-522: A bus rapid transit system, named " Stream ", on several existing corridors. The first line, the Community Line on Pacific Avenue between Tacoma and Spanaway , is planned to replace a 14.4-mile (23.2 km) section of Route 1. The Pacific Avenue line was planned to have 32 total stations, including curb-side and median stations, and 3.6 miles (5.8 km) of dedicated bus lanes. It was originally scheduled to begin construction in 2021 and open by 2024 at

363-625: A healthy diet are also recommended. Supportive care in severe cases includes treatment to relieve symptoms , fluid therapy , oxygen support and prone positioning , and medications or devices to support other affected vital organs. More severe cases may need treatment in hospital. In those with low oxygen levels, use of the glucocorticoid dexamethasone is recommended to reduce mortality. Noninvasive ventilation and, ultimately, admission to an intensive care unit for mechanical ventilation may be required to support breathing. Extracorporeal membrane oxygenation (ECMO) has been used to address

484-603: A tram engine in the UK) at the head of a line of one or more carriages, similar to a small train. Systems with such steam trams included Christchurch , New Zealand; Sydney, Australia; other city systems in New South Wales ; Munich , Germany (from August 1883 on), British India (from 1885) and the Dublin & Blessington Steam Tramway (from 1888) in Ireland. Steam tramways also were used on

605-615: A variant of concern (VoC) or a variant of interest (VoI). Many of these variants have shared the more infectious D614G . As of May 2023, the WHO had downgraded all variants of concern to previously circulating as these were no longer detected in new infections. Sub-lineages of the Omicron variant (BA.1 – BA.5) were considered separate VoCs by the WHO until they were downgraded in March 2023 as no longer widely circulating. As of 24 September 2024 ,

726-515: A Vermont blacksmith, had invented a battery-powered electric motor which he later patented. The following year he used it to operate a small model electric car on a short section of track four feet in diameter. Attempts to use batteries as a source of electricity were made from the 1880s and 1890s, with unsuccessful trials conducted in among other places Bendigo and Adelaide in Australia, and for about 14 years as The Hague accutram of HTM in

847-493: A comprehensive international study. Such deaths include deaths due to healthcare capacity constraints and priorities, as well as reluctance to seek care (to avoid possible infection). Further research may help distinguish the proportions directly caused by COVID-19 from those caused by indirect consequences of the pandemic. In May 2022, the WHO estimated the number of excess deaths by the end of 2021 to be 14.9 million compared to 5.4 million reported COVID-19 deaths, with

968-445: A cost of $ 95 million, with funds from Sound Transit 3 and the federal government. In August 2023, the board of commissioners voted to defer work on the bus rapid transit project due to its six-year delay and $ 150 million cost increase. In its place, Pierce Transit plans to improve Route 1 service on Pacific Avenue in 2024 with an "enhanced" express service that serves 14 stops and uses transit signal priority . The service retains

1089-590: A large number of people". During the COVID-19 pandemic, as with other pandemics, the meaning of this term has been challenged. The end of a pandemic or other epidemic only rarely involves the total disappearance of a disease, and historically, much less attention has been given to defining the ends of epidemics than their beginnings. The ends of particular epidemics have been defined in a variety of ways, differing according to academic field, and differently based on location and social group. An epidemic's end can be considered

1210-448: A median range of 0.24% to 1.49%. IFRs rise as a function of age (from 0.002% at age 10 and 0.01% at age 25, to 0.4% at age 55, 1.4% at age 65, 4.6% at age 75, and 15% at age 85). These rates vary by a factor of ≈10,000 across the age groups. For comparison, the IFR for middle-aged adults is two orders of magnitude higher than the annualised risk of a fatal automobile accident and much higher than

1331-815: A random sample have consistently found that total infections considerably exceed the reported case counts. Many countries, early on, had official policies to not test those with only mild symptoms. The strongest risk factors for severe illness are obesity, complications of diabetes , anxiety disorders, and the total number of conditions. During the start of the COVID-19 pandemic it was not clear whether young people were less likely to be infected, or less likely to develop symptoms and be tested. A retrospective cohort study in China found that children and adults were just as likely to be infected. Among more thorough studies, preliminary results from 9 April 2020 found that in Gangelt ,

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1452-502: A sales tax increase to 10.1% (the "highest on the West Coast"), but in reality that rate would have only applied to motor vehicles due to the state motor vehicle sales and use tax. Most taxable goods and services would have been taxed at the rate of 9.8%. Pierce Transit proposed a similar increase in sales tax in 2011, which was eventually rejected by the public. Proposition 1, proposed in the 2012 general election, has also been rejected by

1573-695: A similar technology, Pirotsky put into service the first public electric tramway in St. Petersburg, which operated only during September 1880. The second demonstration tramway was presented by Siemens & Halske at the 1879 Berlin Industrial Exposition. The first public electric tramway used for permanent service was the Gross-Lichterfelde tramway in Lichterfelde near Berlin in Germany, which opened in 1881. It

1694-457: A social phenomenon, not just a biological one. Time reported in March 2024 that expert opinions differ on whether or not COVID-19 is considered endemic or pandemic, and that the WHO continued to call the disease a pandemic on its website. During the initial outbreak in Wuhan , the virus and disease were commonly referred to as "coronavirus", "Wuhan coronavirus", "the coronavirus outbreak" and

1815-543: A special transportation system called SHUTTLE. The agency launched an on-demand ride-hail service, named "Runner", in 2020 to serve the Ruston Way corridor. It was expended to Joint Base Lewis–McChord, Spanaway/Parkland, and the Port of Tacoma in 2021. Fares last updated on: 3/1/2016 In 1986, Pierce Transit began experimenting with compressed natural gas as a fuel source for its bus fleet by modifying two existing buses, becoming

1936-451: A test. Conversely, deaths of people who died from underlying conditions following a positive test may be included. Countries such as Belgium include deaths from suspected cases, including those without a test, thereby increasing counts. Official death counts have been claimed to underreport the actual death toll, because excess mortality (the number of deaths in a period compared to a long-term average) data show an increase in deaths that

2057-911: A well-known tourist attraction . A single cable line also survives in Wellington (rebuilt in 1979 as a funicular but still called the " Wellington Cable Car "). Another system, with two separate cable lines and a shared power station in the middle, operates from the Welsh town of Llandudno up to the top of the Great Orme hill in North Wales , UK. Hastings and some other tramways, for example Stockholms Spårvägar in Sweden and some lines in Karachi , used petrol trams. Galveston Island Trolley in Texas operated diesel trams due to

2178-518: Is associated with COVID-19 and is reported in as many as 88% of cases. The disease is mainly transmitted via the respiratory route when people inhale droplets and small airborne particles (that form an aerosol ) that infected people exhale as they breathe, talk, cough, sneeze, or sing. Infected people are more likely to transmit COVID-19 when they are physically close to other non-infected individuals. However, infection can occur over longer distances, particularly indoors. SARS‑CoV‑2 belongs to

2299-600: Is discouraged altogether by the World Health Organization (WHO), due to limited evidence of its efficacy. The severity of COVID-19 varies. It may take a mild course with few or no symptoms, resembling other common upper respiratory diseases such as the common cold . In 3–4% of cases (7.4% for those over age 65) symptoms are severe enough to cause hospitalisation. Mild cases typically recover within two weeks, while those with severe or critical diseases may take three to six weeks to recover. Among those who have died,

2420-439: Is intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), the virus that causes coronavirus disease 2019 ( COVID-19 ). Prior to the COVID-19 pandemic, an established body of knowledge existed about the structure and function of coronaviruses causing diseases like severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). This knowledge accelerated

2541-485: Is not explained by COVID-19 deaths alone. Using such data, estimates of the true number of deaths from COVID-19 worldwide have included a range from 18.2 to 33.5 million (≈27.4 million) by 18 November 2023 by The Economist , as well as over 18.5 million by 1 April 2023 by the Institute for Health Metrics and Evaluation and ≈18.2 million (earlier) deaths between 1 January 2020, and 31 December 2021, by

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2662-622: Is still in operation in modernised form. The earliest tram system in Canada was built by John Joseph Wright , brother of the famous mining entrepreneur Whitaker Wright , in Toronto in 1883, introducing electric trams in 1892. In the US, multiple experimental electric trams were exhibited at the 1884 World Cotton Centennial World's Fair in New Orleans, Louisiana , but they were not deemed good enough to replace

2783-452: Is the ratio of deaths to diagnoses. This metric can be misleading because of the delay between symptom onset and death and because testing focuses on symptomatic individuals. Based on Johns Hopkins University statistics, the global CFR was 1.02 percent (6,881,955 deaths for 676,609,955 cases) as of 10 March 2023. The number varies by region and has generally declined over time. Several variants have been named by WHO and labelled as

2904-406: Is the seventh known coronavirus to infect people, after 229E , NL63 , OC43 , HKU1 , MERS-CoV , and the original SARS-CoV . The standard method of testing for presence of SARS-CoV-2 is a nucleic acid test , which detects the presence of viral RNA fragments. As these tests detect RNA but not infectious virus, its "ability to determine duration of infectivity of patients is limited." The test

3025-729: Is the sole survivor of the fleet). In Italy, in Trieste , the Trieste–Opicina tramway was opened in 1902, with the steepest section of the route being negotiated with the help of a funicular and its cables. Cable cars suffered from high infrastructure costs, since an expensive system of cables , pulleys , stationary engines and lengthy underground vault structures beneath the rails had to be provided. They also required physical strength and skill to operate, and alert operators to avoid obstructions and other cable cars. The cable had to be disconnected ("dropped") at designated locations to allow

3146-614: Is typically done on respiratory samples obtained by a nasopharyngeal swab ; however, a nasal swab or sputum sample may also be used. The WHO has published several testing protocols for the disease. Preventive measures to reduce the chances of infection include getting vaccinated, staying at home or spending more time outdoors, avoiding crowded places, keeping distance from others, wearing a mask in public, ventilating indoor spaces, managing potential exposure durations, washing hands with soap and water often and for at least twenty seconds, practising good respiratory hygiene, and avoiding touching

3267-688: The Bleecker Street Line until its closure in 1917. Pittsburgh, Pennsylvania , had its Sarah Street line drawn by horses until 1923. The last regular mule-drawn cars in the US ran in Sulphur Rock, Arkansas , until 1926 and were commemorated by a U.S. postage stamp issued in 1983. The last mule tram service in Mexico City ended in 1932, and a mule tram in Celaya, Mexico , survived until 1954. The last horse-drawn tram to be withdrawn from public service in

3388-501: The Huanan Seafood Wholesale Market there, but it is possible that human-to-human transmission began earlier. Molecular clock analysis suggests that the first cases were likely to have been between October and November 2019. The scientific consensus is that the virus is most likely of a zoonotic origin, from bats or another closely related mammal. While other explanations such as speculations that SARS-CoV-2

3509-407: The Institute for Health Metrics and Evaluation estimating the true number of cases as of early 2022 to be in the billions. One measure that public health officials and policymakers have used to monitor the pandemic and guide decision-making is the test positivity rate ("percent positive"). According to Johns Hopkins in 2020, one benchmark for a "too high" per cent positive is 5%, which was used by

3630-879: The Lamm fireless engines then propelling the St. Charles Avenue Streetcar in that city. The first commercial installation of an electric streetcar in the United States was built in 1884 in Cleveland, Ohio , and operated for a period of one year by the East Cleveland Street Railway Company. The first city-wide electric streetcar system was implemented in 1886 in Montgomery, Alabama , by the Capital City Street Railway Company, and ran for 50 years. In 1888,

3751-692: The Richmond Union Passenger Railway began to operate trams in Richmond, Virginia , that Frank J. Sprague had built. Sprague later developed multiple unit control, first demonstrated in Chicago in 1897, allowing multiple cars to be coupled together and operated by a single motorman. This gave rise to the modern subway train. Following the improvement of an overhead "trolley" system on streetcars for collecting electricity from overhead wires by Sprague, electric tram systems were rapidly adopted across

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3872-785: The West Midlands Metro in Birmingham , England adopted battery-powered trams on sections through the city centre close to Grade I listed Birmingham Town Hall . Paris and Berne (Switzerland) operated trams that were powered by compressed air using the Mekarski system . Trials on street tramways in Britain, including by the North Metropolitan Tramway Company between Kings Cross and Holloway, London (1883), achieved acceptable results but were found not to be economic because of

3993-597: The basic reproduction number (R 0 ) for COVID-19 in January 2020 were between 1.4 and 2.5, but a subsequent analysis claimed that it may be about 5.7 (with a 95 per cent confidence interval of 3.8 to 8.9). In December 2021, the number of cases continued to climb due to several factors, including new COVID-19 variants. As of that 28   December, 282,790,822 individuals worldwide had been confirmed as infected. As of 14 April 2022 , over 500 million cases were confirmed globally. Most cases are unconfirmed, with

4114-474: The coronavirus pandemic and COVID pandemic ), caused by severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ), began with an outbreak of COVID-19 in Wuhan , China, in December 2019. It spread to other areas of Asia, and then worldwide in early 2020. The World Health Organization (WHO) declared the outbreak a public health emergency of international concern (PHEIC) on 30 January 2020, and assessed

4235-474: The variants of interest as specified by the World Health Organization are BA.2.86 and JN.1, and the variants under monitoring are JN.1.7, KP.2, KP.3, KP.3.1.1, JN.1.18, LB.1, and XEC. Symptoms of COVID-19 are variable, ranging from mild symptoms to severe illness. Common symptoms include headache, loss of smell and taste , nasal congestion and runny nose , cough, muscle pain , sore throat , fever, diarrhoea , and breathing difficulties . People with

4356-495: The "Stream Community Line" moniker and a 28-year naming rights sponsorship with health system MultiCare valued at $ 9.3 million. It began service on April 1, 2024. The agency has also studied several four additional routes for future expansion of the Stream bus rapid transit system to serve Lakewood, South Tacoma, and Puyallup. Pierce Transit is operated by nine-member Board of Commissioners composed of elected officials throughout

4477-429: The "Wuhan coronavirus outbreak", with the disease sometimes called "Wuhan pneumonia ". In January 2020, the WHO recommended 2019-nCoV and 2019-nCoV acute respiratory disease as interim names for the virus and disease per 2015 international guidelines against using geographical locations (e.g. Wuhan, China), animal species, or groups of people in disease and virus names in part to prevent social stigma . WHO finalised

4598-1202: The 1850s, after which the "animal railway" became an increasingly common feature in the larger towns. The first permanent tram line in continental Europe was opened in Paris in 1855 by Alphonse Loubat who had previously worked on American streetcar lines. The tram was developed in numerous cities of Europe (some of the most extensive systems were found in Berlin, Budapest , Birmingham , Saint Petersburg , Lisbon , London , Manchester , Paris , Kyiv ). The first tram in South America opened in 1858 in Santiago, Chile . The first trams in Australia opened in 1860 in Sydney . Africa's first tram service started in Alexandria on 8 January 1863. The first trams in Asia opened in 1869 in Batavia (Jakarta), Netherlands East Indies (Indonesia) . Limitations of horsecars included

4719-692: The 1894-built horse tram at Victor Harbor in South Australia . New horse-drawn systems have been established at the Hokkaidō Museum in Japan and also in Disneyland . A horse-tram route in Polish gmina Mrozy , first built in 1902, was reopened in 2012. The first mechanical trams were powered by steam . Generally, there were two types of steam tram. The first and most common had a small steam locomotive (called

4840-420: The 1980s. The history of passenger trams, streetcars and trolley systems, began in the early nineteenth century. It can be divided into several distinct periods defined by the principal means of power used. Precursors to the tramway included the wooden or stone wagonways that were used in central Europe to transport mine carts with unflanged wheels since the 1500s, and the paved limestone trackways designed by

4961-475: The Australian state of Queensland between 1909 and 1939. Stockholm , Sweden, had a steam tram line at the island of Södermalm between 1887 and 1901. Tram engines usually had modifications to make them suitable for street running in residential areas. The wheels, and other moving parts of the machinery, were usually enclosed for safety reasons and to make the engines quieter. Measures were often taken to prevent

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5082-457: The British newspaper Newcastle Daily Chronicle reported that, "A large number of London's discarded horse tramcars have been sent to Lincolnshire where they are used as sleeping rooms for potato pickers ". Horses continued to be used for light shunting well into the 20th century, and many large metropolitan lines lasted into the early 20th century. New York City had a regular horsecar service on

5203-744: The Entertainment Centre, and work is progressing on further extensions. Sydney re-introduced trams (or light rail) on 31 August 1997. A completely new system, known as G:link , was introduced on the Gold Coast, Queensland , on 20 July 2014. The Newcastle Light Rail opened in February 2019, while the Canberra light rail opened on 20 April 2019. This is the first time that there have been trams in Canberra, even though Walter Burley Griffin 's 1914–1920 plans for

5324-568: The Irish coach builder John Stephenson , in New York City which began service in the year 1832. The New York and Harlem Railroad's Fourth Avenue Line ran along the Bowery and Fourth Avenue in New York City. It was followed in 1835 by the New Orleans and Carrollton Railroad in New Orleans, Louisiana , which still operates as the St. Charles Streetcar Line . Other American cities did not follow until

5445-534: The Netherlands. The first trams in Bendigo, Australia, in 1892, were battery-powered, but within as little as three months they were replaced with horse-drawn trams. In New York City some minor lines also used storage batteries. Then, more recently during the 1950s, a longer battery-operated tramway line ran from Milan to Bergamo . In China there is a Nanjing battery Tram line and has been running since 2014. In 2019,

5566-755: The North Sydney line from 1886 to 1900, and the King Street line from 1892 to 1905. In Dresden , Germany, in 1901 an elevated suspended cable car following the Eugen Langen one-railed floating tram system started operating. Cable cars operated on Highgate Hill in North London and Kennington to Brixton Hill in South London. They also worked around "Upper Douglas" in the Isle of Man from 1897 to 1929 (cable car 72/73

5687-720: The Romans for heavy horse and ox-drawn transportation. By the 1700s, paved plateways with cast iron rails were introduced in England for transporting coal, stone or iron ore from the mines to the urban factories and docks. The world's first passenger train or tram was the Swansea and Mumbles Railway , in Wales , UK. The British Parliament passed the Mumbles Railway Act in 1804, and horse-drawn service started in 1807. The service closed in 1827, but

5808-554: The Second Street Cable Railroad, which operated from 1885 to 1889, and the Temple Street Cable Railway, which operated from 1886 to 1898. From 1885 to 1940, the city of Melbourne , Victoria, Australia operated one of the largest cable systems in the world, at its peak running 592 trams on 75 kilometres (47 mi) of track. There were also two isolated cable lines in Sydney , New South Wales, Australia;

5929-1118: The Transit Police Chief(provided by the Pierce County Sheriff's Department - under contract). The Pierce Transit system is also patrolled by 17 specially commissioned Peace Officers (Public Safety Officers). As of 2012, Pierce Transit served a 292-square-mile (760 km) area with a population of approximately 557,000. Areas served include Auburn , Edgewood , Federal Way , Fife , Fircrest , Gig Harbor , Joint Base Lewis–McChord , Lakewood , Milton , Pacific , Purdy , Puyallup , Ruston , South Hill , Steilacoom , Tacoma and University Place . In 2008, 19 million people utilized its services. 272 wheelchair -accessible buses circulate between 3,300 bus stops, 626 bus shelters and 28 park-and-ride lots. Additionally, Pierce Transit runs 11 transit centers and stations. Pierce Transit also provides vanpool, ridematching and express transportation between counties. Disabled passengers who are not able to use Pierce Transit's buses have access to

6050-562: The UK at Lytham St Annes , Trafford Park , Manchester (1897–1908) and Neath , Wales (1896–1920). Comparatively little has been published about gas trams. However, research on the subject was carried out for an article in the October 2011 edition of "The Times", the historical journal of the Australian Association of Timetable Collectors, later renamed the Australian Timetable Association. The world's first electric tram line operated in Sestroretsk near Saint Petersburg invented and tested by inventor Fyodor Pirotsky in 1875. Later, using

6171-410: The UK took passengers from Fintona railway station to Fintona Junction one mile away on the main Omagh to Enniskillen railway in Northern Ireland. The tram made its last journey on 30 September 1957 when the Omagh to Enniskillen line closed. The "van" is preserved at the Ulster Transport Museum . Horse-drawn trams still operate on the 1876-built Douglas Bay Horse Tramway on the Isle of Man , and at

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6292-588: The WHO in the past. As of 10 March 2023, more than 6.88   million deaths had been attributed to COVID-19. The first confirmed death was in Wuhan on 9 January 2020. These numbers vary by region and over time, influenced by testing volume, healthcare system quality, treatment options, government response, time since the initial outbreak, and population characteristics, such as age, sex, and overall health. Multiple measures are used to quantify mortality. Official death counts typically include people who died after testing positive. Such counts exclude deaths without

6413-419: The WHO, US, European Union, and Australia. On 12 November 2022, the WHO released its Global Vaccine Market Report. The report indicated that "inequitable distribution is not unique to COVID-19 vaccines"; countries that are not economically strong struggle to obtain vaccines. On 14 November 2022, the first inhalable vaccine was introduced, developed by Chinese biopharmaceutical company CanSino Biologics , in

6534-508: The advantages over earlier forms of transit was the low rolling resistance of metal wheels on steel rails, allowing the trams to haul a greater load for a given effort. Another factor which contributed to the rise of trams was the high total cost of ownership of horses. Electric trams largely replaced animal power in the late 19th and early 20th centuries. Improvements in other vehicles such as buses led to decline of trams in early to mid 20th century. However, trams have seen resurgence since

6655-580: The agency opened a major transit center on Commerce Street in Downtown Tacoma that would serve 1,300 buses on a typical weekday. Commerce Street Station includes a garage with layover space for 24 buses, an office, and plaza space; it cost $ 23.3 million to construct. Pierce Transit began planning a regional transit center near the Tacoma Dome in the mid-1990s in anticipation of future commuter rail service. The first phase of Tacoma Dome Station opened on October 25, 1997, for use by local and express buses. Sounder commuter rail service to Tacoma began in 2000 and

6776-448: The broad family of viruses known as coronaviruses . It is a positive-sense single-stranded RNA (+ssRNA) virus, with a single linear RNA segment. Coronaviruses infect humans, other mammals, including livestock and companion animals, and avian species. Human coronaviruses are capable of causing illnesses ranging from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS, fatality rate ≈34%). SARS-CoV-2

6897-460: The busiest tram line in Europe, with a tram running once per minute at rush hour. Bucharest and Belgrade ran a regular service from 1894. Ljubljana introduced its tram system in 1901 – it closed in 1958. Oslo had the first tramway in Scandinavia , starting operation on 2 March 1894. The first electric tramway in Australia was a Sprague system demonstrated at the 1888 Melbourne Centennial Exhibition in Melbourne ; afterwards, this

7018-439: The capital then in the planning stage did propose a Canberra tram system. In Japan, the Kyoto Electric railroad was the first tram system, starting operation in 1895. By 1932, the network had grown to 82 railway companies in 65 cities, with a total network length of 1,479 km (919 mi). By the 1960s the tram had generally died out in Japan. Two rare but significant alternatives were conduit current collection , which

7139-458: The car up the hill at a steady pace, unlike a low-powered steam or horse-drawn car. Cable cars do have wheel brakes and track brakes , but the cable also helps restrain the car to going downhill at a constant speed. Performance in steep terrain partially explains the survival of cable cars in San Francisco. The San Francisco cable cars , though significantly reduced in number, continue to provide regular transportation service, in addition to being

7260-402: The cars to coast by inertia, for example when crossing another cable line. The cable then had to be "picked up" to resume progress, the whole operation requiring precise timing to avoid damage to the cable and the grip mechanism. Breaks and frays in the cable, which occurred frequently, required the complete cessation of services over a cable route while the cable was repaired. Due to overall wear,

7381-470: The centre of a major infection cluster in Germany, 15 per cent of a population sample tested positive for antibodies . Screening for COVID-19 in pregnant women in New York City , and blood donors in the Netherlands, found rates of positive antibody tests that indicated more infections than reported. Seroprevalence -based estimates are conservative as some studies show that persons with mild symptoms do not have detectable antibodies. Initial estimates of

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7502-632: The city of Shanghai, China. For the first two years of the pandemic, no specific and effective treatment or cure was available. In 2021, the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) approved the oral antiviral protease inhibitor , Paxlovid (nirmatrelvir plus the HIV antiviral ritonavir ), to treat adult patients. FDA later gave it an EUA. Most cases of COVID-19 are mild. In these, supportive care includes medication such as paracetamol or NSAIDs to relieve symptoms (fever, body aches, cough), adequate intake of oral fluids and rest. Good personal hygiene and

7623-409: The city's hurricane-prone location, which would have resulted in frequent damage to an electrical supply system. Although Portland, Victoria promotes its tourist tram as being a cable car it actually operates using a diesel motor. The tram, which runs on a circular route around the town of Portland, uses dummies and salons formerly used on the Melbourne cable tramway system and since restored. In

7744-469: The classic tramway built in the early 20th century with the tram system operating in mixed traffic, and the later type which is most often associated with the tram system having its own right of way. Tram systems that have their own right of way are often called light rail but this does not always hold true. Though these two systems differ in their operation, their equipment is much the same. COVID-19 pandemic The COVID-19 pandemic (also known as

7865-416: The combined coal consumption of the stationary compressor and the onboard steam boiler. The Trieste–Opicina tramway in Trieste operates a hybrid funicular tramway system. Conventional electric trams are operated in street running and on reserved track for most of their route. However, on one steep segment of track, they are assisted by cable tractors, which push the trams uphill and act as brakes for

7986-639: The county. The Pierce County PBTA took over Tacoma Transit's routes on January 1, 1980, and over the following year annexed other systems throughout the county. The takeover of Tacoma Transit was done on a temporary agreement while a final cost for the system was under negotiation. The agency adopted its new name, "Pierce Transit", in June 1980; the name "Tahoma Transit" was favored by staff, while board members proposed "The Bus" and "GO". Pierce Transit began expanding outside of Tacoma on July 1, 1980, with new routes to Federal Way, Fife, Milton, Puyallup, Sumner, Fort Lewis, and McChord Air Force Base. The Federal Way route

8107-501: The county. The agency is led by the chief executive officer, who is appointed by the board. Since 2021, this position has been held by Mike Griffus. A staff of approximately 1,000 man the five departments, with over 50% working in Transit Operations. Pierce Transit contracts with the Pierce County Sheriff's Department for police services. There are currently 16 patrol deputies assigned full-time to Pierce Transit. The command staff of Pierce Transit Police include two Supervising Sergeants and

8228-433: The cumulative number of infected individuals (including asymptomatic and undiagnosed infections and excluding vaccinated infected individuals). It is expressed in percentage points. Other studies refer to this metric as the infection fatality risk . In November 2020, a review article in Nature reported estimates of population-weighted IFRs for various countries, excluding deaths in elderly care facilities, and found

8349-441: The development of various vaccine platforms during early 2020. The initial focus of SARS-CoV-2 vaccines was on preventing symptomatic and severe illness. The COVID-19 vaccines are widely credited for their role in reducing the severity and death caused by COVID-19. As of March 2023, more than 5.5 billion people had received one or more doses (11.8 billion in total) in over 197 countries. The Oxford-AstraZeneca vaccine

8470-430: The downhill run. For safety, the cable tractors are always deployed on the downhill side of the tram vehicle. Similar systems were used elsewhere in the past, notably on the Queen Anne Counterbalance in Seattle and the Darling Street wharf line in Sydney. In the mid-20th century many tram systems were disbanded, replaced by buses, trolleybuses , automobiles or rapid transit . The General Motors streetcar conspiracy

8591-446: The engines from emitting visible smoke or steam. Usually the engines used coke rather than coal as fuel to avoid emitting smoke; condensers or superheating were used to avoid emitting visible steam. A major drawback of this style of tram was the limited space for the engine, so that these trams were usually underpowered. Steam trams faded out around the 1890s to 1900s, being replaced by electric trams. Another motive system for trams

8712-429: The entire length of cable (typically several kilometres) had to be replaced on a regular schedule. After the development of reliable electrically powered trams, the costly high-maintenance cable car systems were rapidly replaced in most locations. Cable cars remained especially effective in hilly cities, since their nondriven wheels did not lose traction as they climbed or descended a steep hill. The moving cable pulled

8833-513: The eyes, nose, or mouth with unwashed hands. Those diagnosed with COVID-19 or who believe they may be infected are advised by healthcare authorities to stay home except to get medical care, call ahead before visiting a healthcare provider, wear a face mask before entering the healthcare provider's office and when in any room or vehicle with another person, cover coughs and sneezes with a tissue, regularly wash hands with soap and water and avoid sharing personal household items. A COVID-19 vaccine

8954-439: The fact that any given animal could only work so many hours on a given day, had to be housed, groomed, fed and cared for day in and day out, and produced prodigious amounts of manure, which the streetcar company was charged with storing and then disposing. Since a typical horse pulled a streetcar for about a dozen miles a day and worked for four or five hours, many systems needed ten or more horses in stable for each horsecar. In 1905

9075-753: The first agency in the nation to do so. As of 2018, 118 of the 249 buses in the agency's fleet run on compressed natural gas. Other models are diesel–electric hybrids or use electric batteries. Streetcar A tram (also known as a streetcar or trolley in the United States) is a type of urban rail transit consisting of either individual railcars or self-propelled multiple unit trains that run on tramway tracks on urban public streets; some include segments on segregated right-of-way . The tramlines or tram networks operated as public transport are called tramways or simply trams/streetcars. Because of their close similarities, trams are commonly included in

9196-474: The general public beginning in December 2020, made available through government and international programs such as COVAX , aiming to provide vaccine equity . Treatments include novel antiviral drugs and symptom control. Common mitigation measures during the public health emergency included travel restrictions , lockdowns , business restrictions and closures, workplace hazard controls , mask mandates , quarantines, testing systems, and contact tracing of

9317-657: The infected. The pandemic caused severe social and economic disruption around the world, including the largest global recession since the Great Depression . Widespread supply shortages , including food shortages , were caused by supply chain disruptions and panic buying . Reduced human activity led to an unprecedented temporary decrease in pollution . Educational institutions and public areas were partially or fully closed in many jurisdictions, and many events were cancelled or postponed during 2020 and 2021. Telework became much more common for white-collar workers as

9438-439: The issue of respiratory failure. Existing drugs such as hydroxychloroquine , lopinavir/ritonavir , and ivermectin are not recommended by US or European health authorities, as there is no good evidence they have any useful effect. The antiviral remdesivir is available in the US, Canada, Australia, and several other countries, with varying restrictions; however, it is not recommended for use with mechanical ventilation, and

9559-542: The late 19th and early 20th centuries a number of systems in various parts of the world employed trams powered by gas, naphtha gas or coal gas in particular. Gas trams are known to have operated between Alphington and Clifton Hill in the northern suburbs of Melbourne , Australia (1886–1888); in Berlin and Dresden , Germany; in Estonia (1921–1951); between Jelenia Góra , Cieplice , and Sobieszów in Poland (from 1897); and in

9680-402: The late 19th and early 20th centuries. There was one particular hazard associated with trams powered from a trolley pole off an overhead line on the early electrified systems. Since the tram relies on contact with the rails for the current return path, a problem arises if the tram is derailed or (more usually) if it halts on a section of track that has been heavily sanded by a previous tram, and

9801-576: The majority of the unreported 9.5 million deaths believed to be direct deaths due the virus, rather than indirect deaths. Some deaths were because people with other conditions could not access medical services . A December 2022 WHO study estimated excess deaths from the pandemic during 2020 and 2021, again concluding ≈14.8 million excess early deaths occurred, reaffirming and detailing their prior calculations from May as well as updating them, addressing criticisms. These numbers do not include measures like years of potential life lost and may make

9922-528: The necessity of overhead wire and a trolley pole for street cars and railways. While at the University of Denver he conducted experiments which established that multiple unit powered cars were a better way to operate trains and trolleys. Electric tramways spread to many European cities in the 1890s, such as: Sarajevo built a citywide system of electric trams in 1895. Budapest established its tramway system in 1887, and its ring line has grown to be

10043-495: The official names COVID-19 and SARS-CoV-2 on 11 February 2020. Tedros Adhanom Ghebreyesus explained: CO   for corona , VI   for virus , D   for disease and 19 for when the outbreak was first identified (31 December 2019). WHO additionally uses "the COVID-19 virus" and "the virus responsible for COVID-19" in public communications. WHO named variants of concern and variants of interest using Greek letters . The initial practice of naming them according to where

10164-523: The oldest operating electric tramway in the world. Also in 1883, Mödling and Hinterbrühl Tram was opened near Vienna in Austria. It was the first tram in the world in regular service that was run with electricity served by an overhead line with pantograph current collectors . The Blackpool Tramway was opened in Blackpool, UK on 29 September 1885 using conduit collection along Blackpool Promenade. This system

10285-427: The outbreak as having become a pandemic on 11 March. COVID-19 symptoms range from asymptomatic to deadly, but most commonly include fever, sore throat , nocturnal cough , and fatigue. Transmission of the virus is often through airborne particles . Mutations have produced many strains (variants) with varying degrees of infectivity and virulence . COVID-19 vaccines were developed rapidly and deployed to

10406-407: The pandemic 2021's leading cause of death . The time between symptom onset and death ranges from   6 to 41 days, typically about 14 days. Mortality rates increase as a function of age. People at the greatest mortality risk are the elderly and those with underlying conditions. The infection fatality ratio (IFR) is the cumulative number of deaths attributed to the disease divided by

10527-491: The pandemic evolved. Misinformation circulated through social media and mass media , and political tensions intensified . The pandemic raised issues of racial and geographic discrimination , health equity , and the balance between public health imperatives and individual rights . The WHO ended the PHEIC for COVID-19 on 5 May 2023. The disease has continued to circulate, but as of 2024, experts were uncertain as to whether it

10648-617: The poor paving of the streets in American cities which made them unsuitable for horsebuses , which were then common on the well-paved streets of European cities. Running the horsecars on rails allowed for a much smoother ride. There are records of a street railway running in Baltimore as early as 1828, however the first authenticated streetcar in America, was the New York and Harlem Railroad developed by

10769-415: The population's age structure and the age-specific pattern of infections. There have also been reviews that have compared the fatality rate of this pandemic with prior pandemics, such as MERS-CoV. For comparison the infection mortality rate of seasonal flu in the United States is 0.1%, which is 13 times lower than COVID-19. Another metric in assessing death rate is the case fatality ratio (CFR), which

10890-491: The public. In May 2012, the cities of Bonney Lake, Buckley, DuPont, Orting, and Sumner withdrew from the boundaries of Pierce Transit's service area, which shrunk to 292 square miles (760 km). During the early stages of the COVID-19 pandemic in 2020, Pierce Transit laid off or furloughed 90 employees amid a projected revenue cut of $ 47 million due to low ridership and sales tax returns. Pierce Transit plans to build

11011-458: The risk of dying from seasonal influenza . In December 2020, a systematic review and meta-analysis estimated that population-weighted IFR was 0.5% to 1% in some countries (France, Netherlands, New Zealand, and Portugal), 1% to 2% in other countries (Australia, England, Lithuania, and Spain), and about 2.5% in Italy. This study reported that most of the differences reflected corresponding differences in

11132-496: The same infection may have different symptoms, and their symptoms may change over time. Three common clusters of symptoms have been identified: one respiratory symptom cluster with cough, sputum , shortness of breath, and fever; a musculoskeletal symptom cluster with muscle and joint pain, headache, and fatigue; a cluster of digestive symptoms with abdominal pain, vomiting, and diarrhoea. In people without prior ear, nose, and throat disorders, loss of taste combined with loss of smell

11253-529: The suburban tramway lines around Milan and Padua ; the last Gamba de Legn ("Peg-Leg") tramway ran on the Milan- Magenta -Castano Primo route in late 1957. The other style of steam tram had the steam engine in the body of the tram, referred to as a tram engine (UK) or steam dummy (US). The most notable system to adopt such trams was in Paris. French-designed steam trams also operated in Rockhampton , in

11374-556: The system was funded by a $ 0.75 monthly household tax first levied in 1965. A public transportation benefit area (PTBA) was created in 1979 with the goal of establishing a countywide bus system. On November 6, 1979, voters in Tacoma approved a 0.3 percent sales tax to fund a new transit system, initially named the Pierce County Public Transit Benefit Area Authority, that would eventually expand to cover

11495-411: The time from symptom onset to death has ranged from two to eight weeks. Prolonged prothrombin time and elevated C-reactive protein levels on admission to the hospital are associated with severe course of COVID-19 and with a transfer to intensive care units (ICU). Between 5% and 50% of COVID-19 patients experience long COVID , a condition characterised by long-term consequences persisting after

11616-545: The tracks. Siemens later designed his own version of overhead current collection, called the bow collector . One of the first systems to use it was in Thorold, Ontario , opened in 1887, and it was considered quite successful. While this line proved quite versatile as one of the earliest fully functional electric streetcar installations, it required horse-drawn support while climbing the Niagara Escarpment and for two months of

11737-416: The tram and completing the earth return circuit with their body could receive a serious electric shock. If "grounded", the driver was required to jump off the tram (avoiding simultaneous contact with the tram and the ground) and pull down the trolley pole, before allowing passengers off the tram. Unless derailed, the tram could usually be recovered by running water down the running rails from a point higher than

11858-460: The tram loses electrical contact with the rails. In this event, the underframe of the tram, by virtue of a circuit path through ancillary loads (such as interior lighting), is live at the full supply voltage, typically 600 volts DC. In British terminology, such a tram was said to be 'grounded'—not to be confused with the US English use of the term, which means the exact opposite. Any person stepping off

11979-427: The tram, the water providing a conducting bridge between the tram and the rails. With improved technology, this ceased to be an problem. In the 2000s, several companies introduced catenary-free designs: Alstom's Citadis line uses a third rail, Bombardier's PRIMOVE LRV is charged by contactless induction plates embedded in the trackway and CAF URBOS tram uses ultracaps technology As early as 1834, Thomas Davenport ,

12100-694: The typical convalescence period of the disease. The most commonly reported clinical presentations are fatigue and memory problems, as well as malaise , headaches, shortness of breath , loss of smell, muscle weakness , low fever and cognitive dysfunction . Many countries attempted to slow or stop the spread of COVID-19 by recommending, mandating or prohibiting behaviour changes, while others relied primarily on providing information. Measures ranged from public advisories to stringent lockdowns. Outbreak control strategies are divided into elimination and mitigation. Experts differentiate between elimination strategies (known as " zero-COVID ") that aim to completely stop

12221-543: The variants were identified (e.g. Delta began as the " Indian variant") is no longer common. A more systematic naming scheme reflects the variant's PANGO lineage (e.g., Omicron 's lineage is B.1.1.529) and is used for other variants. SARS-CoV-2 is a virus closely related to bat coronaviruses , pangolin coronaviruses, and SARS-CoV . The first known outbreak (the 2019–2020 COVID-19 outbreak in mainland China ) started in Wuhan , Hubei, China, in December 2019. Many early cases were linked to people who had visited

12342-804: The wider term light rail , which also includes systems separated from other traffic. Tram vehicles are usually lighter and shorter than main line and rapid transit trains. Most trams use electrical power, usually fed by a pantograph sliding on an overhead line ; older systems may use a trolley pole or a bow collector . In some cases, a contact shoe on a third rail is used. If necessary, they may have dual power systems—electricity in city streets and diesel in more rural environments. Occasionally, trams also carry freight . Some trams, known as tram-trains , may have segments that run on mainline railway tracks, similar to interurban systems. The differences between these modes of rail transport are often indistinct, and systems may combine multiple features. One of

12463-409: The winter when hydroelectricity was not available. It continued in service in its original form into the 1950s. Sidney Howe Short designed and produced the first electric motor that operated a streetcar without gears. The motor had its armature direct-connected to the streetcar 's axle for the driving force. Short pioneered "use of a conduit system of concealed feed" thereby eliminating

12584-524: The world's first hydrogen fuel cell vehicle tramcar at an assembly facility in Qingdao . The chief engineer of the CSR subsidiary CSR Sifang Co Ltd. , Liang Jianying, said that the company is studying how to reduce the running costs of the tram. Trams have been used for two main purposes: for carrying passengers and for carrying cargo. There are several types of passenger tram: There are two main types of tramways,

12705-401: The world. Earlier electric trains proved difficult or unreliable and experienced limited success until the second half of the 1880s, when new types of current collectors were developed. Siemens' line, for example, provided power through a live rail and a return rail, like a model train , limiting the voltage that could be used, and delivering electric shocks to people and animals crossing

12826-665: Was a case study of the decline of trams in the United States. In the 21st century, trams have been re-introduced in cities where they had been closed down for decades (such as Tramlink in London), or kept in heritage use (such as Spårväg City in Stockholm). Most trams made since the 1990s (such as the Bombardier Flexity series and Alstom Citadis ) are articulated low-floor trams with features such as regenerative braking . In March 2015, China South Rail Corporation (CSR) demonstrated

12947-443: Was accidentally released from a laboratory have been proposed, as of 2021 these were not supported by evidence. Official "case" counts refer to the number of people who have been tested for COVID-19 and whose test has been confirmed positive according to official protocols whether or not they experienced symptomatic disease. Due to the effect of sampling bias , studies which obtain a more accurate number by extrapolating from

13068-486: Was built by Werner von Siemens who contacted Pirotsky. This was the world's first commercially successful electric tram. It drew current from the rails at first, with overhead wire being installed in 1883. In Britain, Volk's Electric Railway was opened in 1883 in Brighton. This two kilometer line along the seafront, re-gauged to 2 ft  8 + 1 ⁄ 2  in ( 825 mm ) in 1884, remains in service as

13189-477: Was created through an agreement with Metro Transit , King County's system, to provide a seamless transfer to an existing express route to Downtown Seattle . These new routes competed with an existing private operator, who filed a lawsuit to halt Pierce Transit's expansion after negotiations broke down. Under threat of a potential injunction from the Pierce County Superior Court, a tentative agreement

13310-470: Was followed by the opening of Tacoma Link , the state's first modern light rail service, in 2003. The passage of Initiative 695 in 1999 eliminated the use of motor vehicle excise tax , a funding source for local transit throughout the state, leading to service cuts at Pierce Transit despite it later being ruled unconstitutional by the Washington Supreme Court . In 2000, 14 percent of service

13431-416: Was in an unsustainable state due to its reserves running out, and as a result, must cut service by 53% in order to become sustainable again. Pierce Transit argued that if taxes within its service area were increased by 0.3%, Pierce Transit would not have had to cut service, and instead could have improved service by 23%. Opponents of the 0.3% tax increase in Pierce County (also known as Proposition 1) advertised

13552-482: Was installed as a commercial venture operating between the outer Melbourne suburb of Box Hill and the then tourist-oriented country town Doncaster from 1889 to 1896. Electric systems were also built in Adelaide , Ballarat , Bendigo , Brisbane , Fremantle , Geelong , Hobart , Kalgoorlie , Launceston , Leonora , Newcastle , Perth , and Sydney . By the 1970s, the only full tramway system remaining in Australia

13673-416: Was reached between Pierce Transit and the operator, who would operate new routes under a contract with the agency. Pierce Transit began operating direct express bus service from Lakewood and Tacoma to Downtown Seattle on September 17, 1990. The routes were later converted into Sound Transit Express routes, funded by the regional transit authority and operated by Pierce Transit, in 1999. On June 14, 1993,

13794-404: Was reduced and a fare increase was set to temporarily make up for revenue from the tax, which made up 38 percent of the agency's operating budget. Voters approved a 0.3 percent sales tax increase to fund transit service during a special election in February 2002, preventing a planned cut in bus service of up to 45 percent, and up to 25 percent for paratransit. In 2012, Pierce Transit argued that it

13915-548: Was restarted in 1860, again using horses. It was worked by steam from 1877, and then, from 1929, by very large (106-seat) electric tramcars, until closure in 1960. The Swansea and Mumbles Railway was something of a one-off however, and no street tramway appeared in Britain until 1860 when one was built in Birkenhead by the American George Francis Train . Street railways developed in America before Europe, due to

14036-457: Was still a pandemic. Pandemics and their ends are not well-defined, and whether or not one has ended differs according to the definition used. As of 24 November 2024, COVID-19 has caused 7,075,455 confirmed deaths. The COVID-19 pandemic ranks as the fifth- deadliest pandemic or epidemic in history . In epidemiology , a pandemic is defined as "an epidemic occurring over a very wide area, crossing international boundaries, and usually affecting

14157-616: Was tested in San Francisco , in 1873. Part of its success is attributed to the development of an effective and reliable cable grip mechanism, to grab and release the moving cable without damage. The second city to operate cable trams was Dunedin , from 1881 to 1957. The most extensive cable system in the US was built in Chicago in stages between 1859 and 1892. New York City developed multiple cable car lines, that operated from 1883 to 1909. Los Angeles also had several cable car lines, including

14278-616: Was the Melbourne tram system. However, there were also a few single lines remaining elsewhere: the Glenelg tram line , connecting Adelaide to the beachside suburb of Glenelg , and tourist trams in the Victorian Goldfields cities of Bendigo and Ballarat. In recent years the Melbourne system, generally recognised as the largest urban tram network in the world, has been considerably modernised and expanded. The Adelaide line has been extended to

14399-411: Was the cable car, which was pulled along a fixed track by a moving steel cable, the cable usually running in a slot below the street level. The power to move the cable was normally provided at a "powerhouse" site a distance away from the actual vehicle. The London and Blackwall Railway , which opened for passengers in east London, England, in 1840 used such a system. The first practical cable car line

14520-502: Was the most widely used. According to a June 2022 study, COVID-19 vaccines prevented an additional 14.4 million to 19.8 million deaths in 185 countries and territories from 8 December 2020 to 8 December 2021. On 8 November 2022, the first recombinant protein-based COVID-19 vaccine (Novavax's booster Nuvaxovid ) was authorised for use in adults in the United Kingdom. It has subsequently received endorsement/authorisation from

14641-851: Was widely used in London, Washington, D.C., and New York City, and the surface contact collection method, used in Wolverhampton (the Lorain system), Torquay and Hastings in the UK (the Dolter stud system), and in Bordeaux , France (the ground-level power supply system). The convenience and economy of electricity resulted in its rapid adoption once the technical problems of production and transmission of electricity were solved. Electric trams largely replaced animal power and other forms of motive power including cable and steam, in

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